scenario006
42 year old female, rolled her car at high speed on the motorway. Difficult extrication. Paramedics have intubated her and administered 1.5L intravenous fluids via two large-bore cannulae.

Primary Survey
Airway: Intubated and ventilated
Breathing: Trachea central. Equal, moderate air entry. RR 35
Circulation: Heart Rate 120, BP 80/50
Already given 1 litre crystalloid solution.
Dysfunction: GCS 7 at scene. Left pupil dilated.
Exposure: No other obvious external injury
Ultrasound scan of the abdomen reveals free fluid in the peritoneal cavity.